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c��� <br /> ' I j <br /> ; .. ,� <br /> j <br /> � <br /> ��p ; . ,�, <br /> 8 � APPLICATION FOR ELECTRICAL NERMIT <br /> ���Q <br /> ��$ :irvcF <br /> M '� evere#t � <br /> pq�� 9UILDINGDEPART�tENT j <br /> a ?59-BBtO �i <br /> �M <br /> II <br /> Q� /e`7 0'7 oc0 s-uJ, �no�1, �¢W`'� <br /> i <br /> �:► C. Cl+e� Cii r es a� 1�.s S�,raifci;ais 9 s L9a S 6 �- 4 sa � , <br /> N��� Ma� Addr!ss l t� hone <br /> hf�• I <br /> �f� enant ai �edress Uty p hone i <br /> il <br /> �� c ectr ca ortractor ai d�.ress ��ty ip hone �cense <br /> .. .�.�y u. ', <br /> �.ontract r ce o 'Hor roposed se a u� ng . <br /> ���T��— � SF,P ' <br /> ro ec—�dress I <br /> 2� zo 2uc c�- Ev-2c �i ��¢s/t � <br /> biscription of 'Nork o e one: � <br /> f f� �CPG.�7cC ��1� .nrcae�+rE Cx rcrinli� FU�� /34X Lviri-� B�e�is�cc-�e dRcey , <br /> � . `'� �Z) /�l� � CG�t.��c.� � /�/�.VEG �,uo rn 6 r�� �"`a R Ddlnt.�'�rli;�s �Ko�'• <br /> i C�, ; <br /> � ' -- <br /> , � <br /> � � f t10TE: WAC 296-46-740 REOCIRES THAT PLANS fOR ELECTRICAL NORK AT E�UCATIONAI� INSTITUTIONAI OF HEAITH CARE FACIUTIES �II <br /> � BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS XITH Sl1CH J005 tdUST SHOW THE STATE APPROVED PLANS BEfORE A i <br /> �� CITY OF EVERETT PEf:Fili NILL BE ISSUED. <br /> i �� 110TE: WIRING IN NON-OWELLINCS IS REOUIRED TO BE IR METAL RACEWAYS. /� � I� <br /> 3�� � �� <br /> _ � ; <br /> � �'� i HEREBY CER7IFV THf,T I HAVE READ AND E%AMINED THIS � <br /> ' APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PROV�SIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> II 'I�I pUOTHOFI Y�TOTV OLAOTE OR CANCELE HE PROVESIONS OF AINY <br /> OTHEFi STATE OR IOCAI LAW REGULATING CONSTRUGTION OF THE � <br /> PERFORMANCE OF CONSTRUC?ION.THAT I AM AUTIiORRED BY THE �__ <br /> OWNER OF THIS PROPERTV TO PEfiFOFM THE WORK FOR WHICH FEE <br /> '�'�� APPLICATION IS MADE AND I COMPLY WITH TIiE STATE <br /> ` CONTRACTORS LAW 1027 RCW AND 296200 WAC. <br /> X <br /> Signature Datc <br /> � <br /> I <br /> I � ' <br />